Reserve Your Tickets Now for the 2019 RPE Father-Daughter Dance
Event Timing: Friday, February 15, 2019. 6-8 pm

Event Address: Grand Reserve, 903 Manchester Street, Lexington, KY

Tickets: $30 Early Bird pricing for the first Father/Daughter pair ($40 at the door) / $10 for each additional daughter

Parent/Guardian Name *
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Student Last Name *
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Teacher Name *
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1st Father-Daughter Pair Names ($30) *
Your answer
Additional Daughter Name ($10)
Your answer
Additional Daughter Name ($10)
Your answer
Corsage(s) ($15 each)
Raffle Ticket(s) ($5 each)
Total Amount Due by 2/13 *
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Email *
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Phone Number *
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I understand that I will have to pay $$ on/before arrival *
Required
I am a guest/friend of the following RPE student:
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Internal Use - Check or Cash
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Internal Use - Amount
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Internal Use - Date
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